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Säo Paulo med. j ; 140(3): 439-446, May-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1377376


ABSTRACT BACKGROUND: Epidemiological studies involving large samples usually face financial and operational challenges. OBJECTIVES: To describe the planning and execution of ADHERE Brazil, an epidemiological study on 1,105 kidney transplant patients, and report on how the study was structured, difficulties faced and solutions found. DESIGN AND SETTING: Cross-sectional multicenter study in 20 Brazilian kidney transplantation centers. METHODS: Actions developed in each phase of implementation were described, with emphasis on innovations used within the logistics of this study, aimed at estimating the prevalence of nonadherence to treatment. RESULTS: Coordination of activities was divided into four areas: general, regulatory, data collection and statistics. Weekly meetings were held for action planning. The general coordination team was in charge of project elaboration, choice of participating centers, definition of publication policy and monitoring other coordination teams. The regulatory team provided support to centers for submitting the project to ethics committees. The data collection team prepared a manual on the electronic collection system, scheduled web meetings and was available to respond to queries. It also monitored the data quality and reported any inadequacies found. Communication with the centers was through monthly reports via e-mail and distribution of exclusive material. The statistical team acted in all phases of the study, especially in creating the data analysis plan and data bank, generation of randomization lists and data extraction. CONCLUSIONS: Through these logistics, we collected high-quality data and built a local research infrastructure for further studies. We present supporting alternatives for conducting similar studies. CLINICAL TRIAL ANNOTATION: on October 10, 2013; NCT02066935.

Humans , Kidney Transplantation , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Communication
Rev. bras. enferm ; 75(2): e20201379, 2022. tab
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1341062


ABSTRACT Objectives: to achieve the degree of saturation in study that applied the grounded theory. Methods: qualitative research, carried out in four Family Health Units, between June 2018 and May 2019. The data from the interviews with 30 health professionals and non-participant observation were coded in the stages: open, axial and integration. Results: the degree of saturation was achieved by two conceptual models - theoretical saturation and inductive thematic. Theoretical saturation was considered: the development of conceptual codes and observation, in the collection and analysis of data, when they generated new categories/subcategories or only indicated increasing instances. For thematic inductive saturation, the use of new codes based on each interview stood out. Final Considerations: the visual layout for the number of codes, the theoretical scope of the concepts and the delimitation of the sample groups guided the identification of the degree of saturation for the development of the conceptual body that supported the substantive theory.

RESUMEN Objetivos: alcanzar grado de saturación en estudio que aplicó la teoría fundamentada. Métodos: investigación cualitativa, realizada en cuatro Unidades Salud de la Familia, entre junio de 2018 y mayo de 2019. Datos de entrevistas con 30 profesionales de salud y observación no participante fueron codificados en las etapas: abierta, axial e integración. Resultados: grado de saturación fue alcanzado por dos modelos conceptuales - saturación teórica y temática inductiva. Fueron considerados para la saturación teórica: el desarrollo de códigos conceptuales y observación, en la recolecta y análisis de los datos, cuando generaban nuevas categorías/subcategorías o apenas indicaban instancias crecientes. Para la saturación temática inductiva, destacó la utilización de nuevos códigos basados en cada entrevista. Consideraciones Finales: la esquematización visual para la cantidad de códigos, inclusión teórica de los conceptos y delimitación de los grupos muestrales orientó la identificación del grado de saturación al desarrollo del cuerpo conceptual que sustentó la teoría sustantiva.

RESUMO Objetivos: alcançar o grau de saturação em estudo que aplicou a teoria fundamentada. Métodos: pesquisa qualitativa, realizada em quatro Unidades Saúde da Família, entre junho de 2018 e maio de 2019. Os dados das entrevistas com 30 profissionais de saúde e observação não participante foram codificados nas etapas: aberta, axial e integração. Resultados: o grau de saturação foi alcançado por dois modelos conceituais - saturação teórica e temática indutiva. Foram considerados para a saturação teórica: o desenvolvimento dos códigos conceituais e a observação, na coleta e análise dos dados, quando geravam novas categorias/subcategorias ou apenas indicavam instâncias crescentes. Para a saturação temática indutiva, destacou-se a utilização de novos códigos baseados em cada entrevista. Considerações Finais: a esquematização visual para a quantidade de códigos, abrangência teórica dos conceitos e delimitação dos grupos amostrais orientou a identificação do grau de saturação para o desenvolvimento do corpo conceitual que sustentou a teoria substantiva.

Esc. Anna Nery Rev. Enferm ; 26: e20210291, 2022.
Article in Portuguese | LILACS, BDENF | ID: biblio-1346048


RESUMO Objetivo refletir sobre o uso de fotos na apreensão das representações sociais de fenômenos na área da saúde, a partir da aplicação da técnica da fotolinguagem e do método photovoice. Método estudo teórico-reflexivo desenvolvido em duas etapas: de análise da literatura; e análise reflexiva sobre a técnica e o método aplicados, pautados nas representações sociais. Desenvolvimento a análise apontou que as fotos possibilitam captar a zona muda das representações, a dimensão dos afetos, dos símbolos e são parte da estratégia de triangulação metodológica para entendimento das múltiplas dimensões que concorrem para a organização do campo da representação social de fenômenos da área da saúde. Conclusão e implicações para a prática as fotos potencializam a apreensão da dimensão figurativa da representação, essencial na compreensão da elaboração do pensamento social. O uso da fotolinguagem e do photovoice na prática operacional de pesquisa contribui para o avanço do conhecimento nos estudos de representações sociais na área da saúde.

RESUMEN Objetivo Reflexionar sobre el uso de fotografías en la aprehensión de representaciones sociales de fenómenos en el área de la salud, desde la perspectiva de la aplicación de la técnica del fotolenguaje y del método de la fotovoz. Método Estudio teórico-reflexivo desarrollado en dos etapas: análisis de la literatura; y análisis reflexivo sobre la técnica y el método aplicados, basado en las representaciones sociales. Desarrollo El análisis señaló que las fotografías permiten captar la zona muda de las representaciones, la dimensión de los afectos, de los símbolos y forman parte de la estrategia de triangulación metodológica para comprender las múltiples dimensiones que contribuyen a la organización del campo de la representación social de fenómenos en el área de la salud. Conclusión e implicaciones en la práctica Las fotografías intensifican la aprehensión de la dimensión figurativa de la representación, fundamental para comprender la elaboración del pensamiento social. El uso del fotolenguaje y de la fotovoz en la práctica operativa de la investigación contribuye al avance del conocimiento en los estudios de las representaciones sociales en el área de la salud.

ABSTRACT Objective to reflect on the use of photographs in the apprehension of social representations of phenomena in health care by applying the photolanguage technique and the photovoice method. Method a reflective and theoretical study developed in two stages: literature analysis; and reflective analysis on the technique and method applied, based on social representations. Development the analysis pointed out that photographs make it possible to capture the silent zone of representations and the dimension of affections, symbols, as well as that they are part of the methodological triangulation strategy to understand the multiple dimensions that contribute to the organization of the field of social representation of phenomena in health care. Conclusion and implications for the practice photographs enhance apprehension of the figurative dimension of the representation, essential in understanding the elaboration of social thinking. The use of photolanguage and photovoice in the research operational practice contributes to the advancement of knowledge in studies of social representations in health care.

Humans , Psychology, Social , Photography , Focus Groups , Qualitative Research
Rev. Nutr. (Online) ; 35: e210132, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1376315


ABSTRACT Objective To present changes in the estimated amount of food intake in Brazil between the 2008-2009 and 2017-2018 National Dietary Surveys. Methods Food intake data from the 2008-2009 and 2017-2018 surveys were used to highlight the differences in the frequencies of foods mentioned, the number of the measurement units mentioned, and the frequency of measurements that were incompatible with the reported food and were exchanged by the most mentioned measurement (standard measurement), as well as to describe the updates performed in the database between edits. Results The elaboration of the 2017-2018 referenced measurement table was based on the 2008-2009 table, which was revised and updated. In the 2008-2009 survey, 9980 household measurements were mentioned for 1970 types of food and preparations, while in 2017-2018 there were 11050 and 2534, respectively. While in 2008-2009, 2.8% of citations were replaced by the standard measurement, in 2017-2018, only 0.7% of food items needed to be replaced. Conclusion The procedures used to estimate the amount of food intake between the surveys allowed updating the table of household measurements and minimizing errors in the estimate of this amount, with a reduction in measurement units that were inconsistent or incompatible with the aforementioned foods.

RESUMO Objetivo Apresentar a evolução na estimativa da quantidade dos alimentos consumidos no Brasil entre os Inquéritos Nacionais de Alimentação de 2008-2009 e de 2017-2018. Métodos Foram utilizados dados de consumo alimentar de 2008-2009 e de 2017-2018 para evidenciar as diferenças nas frequências de citações, nos números de unidades de medidas citadas e na frequência de medidas incompatíveis com o alimento que foram substituídas pela medida citada com maior frequência (medida padrão), bem como descrever as atualizações realizadas no banco de dados entre as edições. Resultados A construção da tabela de medidas referidas de 2017-2018 foi baseada na tabela de 2008-2009, a qual foi revisada e atualizada. No inquérito de 2008-2009 foram citadas 9980 medidas caseiras para 1970 alimentos e preparações, enquanto em 2017-2018 foram 11050 para 2534, respectivamente. Enquanto em 2008-2009 2,8% das citaçoes foram substituídas pela medida padrao, em 2017-2018, somente 0,7% dos alimentos precisaram ser substituídos. Conclusão Os procedimentos utilizados na estimativa de quantidade de alimentos consumidos entre os inquéritos permitiram atualizar a tabela de medidas caseiras e minimizar erros na estimativa dessa quantidade, com redução de unidades de medidas incoerentes ou incompatíveis com os alimentos citados.

Rev. enferm. UFSM ; 12: e13, 2022. ilus, tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1371443


Objetivo: relatar a experiência de pesquisadores na condução da coleta de dados online em uma pesquisa com abordagem quantitativa. Método: relato de experiência sobre a coleta de dados da pesquisa "Uso de equipamentos de proteção individual pelos profissionais de saúde no combate à COVID 19" ocorrida entre agosto de 2020 e março de 2021 por meio de questionário autoaplicável virtual. Resultados: utilizou-se como estratégias de divulgação da pesquisa, a criação de site e redes sociais, o envio de cartaz acompanhado de texto específico com link clicável pelo Whatsapp®, contatos por e-mail e por telefone, além da estratégia de sementes. Durante a coleta de dados, observaram-se fatores dificultadores e facilitadores. Como contribuição social, foi disponibilizado o curso "Biossegurança: Boas Práticas na atuação frente à COVID-19". Conclusão: a coleta de dados online proporcionou a realização de uma pesquisa de abrangência nacional com baixo custo, mas com pouca participação perante a população elegível.

Objective: to report the experience of researchers in conducting online data collection in a survey with a quantitative approach. Method: experience report on the data collection of the survey "Use of personal protective equipment by health professionals in the fight against COVID 19" that took place between August 2020 and March 2021 by means of a self-administered virtual questionnaire. Results: the research was disseminated through the creation of a website and social networks, the sending of a poster accompanied by a specific text with a clickable link through Whatsapp®, contacts by email and phone, in addition to the strategy of seeds. During data collection, complicating and facilitating factors were observed. As a social contribution, the course "Biosafety: Good Practices in the performance in front of COVID-19" was made available. Conclusion: online data collection provided a nationwide survey at low cost, but with little participation from the eligible population.

Objetivo: relatar la experiencia de investigadores en la realización de la recopilación de datos en línea en una investigación con enfoque cuantitativo. Método: relato de experiencia sobre la recopilación de datos de la encuesta "Uso de equipos de protección personal por parte de los profesionales de la salud en la lucha contra el COVID 19" realizada entre agosto de 2020 y marzo de 2021 a través de un cuestionario virtual autoadministrado. Resultados: como estrategias para divulgar la investigación se utilizaron la creación de un sitio web y redes sociales, el envío de un cartel acompañado de un texto específico con un enlace clicable a través de Whatsapp®, los contactos por correo electrónico y por teléfono, además de la estrategia de semillas. Durante la recopilación de datos, se observaron factores que obstaculizan y facilitan. Como aporte social se puso a disposición el curso "Bioseguridad: Buenas Prácticas ante el COVID-19". Conclusión: la recopilación de datos en línea permitió realizar una encuesta a nivel nacional a bajo costo, pero con poca participación de la población elegible.

Humans , Online Systems , Data Collection , Surveys and Questionnaires , Pandemics , COVID-19
Cad. saúde colet., (Rio J.) ; 29(3): 387-398, July-Sept. 2021. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1360311


Resumo Introdução A construção do roteiro de entrevista é uma etapa crucial para garantir o sucesso da pesquisa. Objetivo Descrever o processo de construção, validação e adaptação de instrumento voltado à pesquisa com população jovem que vive em aglomerados subnormais. Método A partir do referencial dos determinantes sociais da saúde e da temática da juventude foram elaboradas as versões iniciais de dois roteiros de entrevista, entre outubro e dezembro de 2017, para posterior validação e aplicação: um voltado para os jovens vivendo em aglomerados subnormais e outro para os trabalhadores da atenção básica. Posteriormente, foram realizados o pré-teste e a elaboração da versão final. Resultados A validação do conteúdo foi realizada por nove especialistas. Na avaliação geral do roteiro dos trabalhadores, o quesito com pior avaliação foi a abrangência do instrumento, e, na avaliação do formulário dos jovens, a ausência de itens foi mencionada por 44,4% dos juízes. Em ambos os roteiros, a compreensibilidade, a objetividade e a pertinência foram bem avaliadas. Os roteiros pós-validação foram aplicados a três trabalhadores e três jovens. Foram identificados problemas no ordenamento das questões e no encadeamento dos assuntos. Conclusão Os roteiros finais aproximaram a entrevista de uma proposta de maior diálogo entre pesquisador e participante.

Abstract Background The preparation of an interview script is a crucial step to ensure the success of a study. Objective Describe the process of construction, validation, and adaptation of an instrument aimed at surveying young adults living in subnormal clusters. Method Based on the Social Determinants of Health and the theme of youth, initial versions of two interview scripts were prepared between October and December 2017 for later validation and application: one aimed at young adults living in subnormal clusters and another at Primary Health Care (PHC) workers. After that, pretests were performed and the final versions were produced. Results Content validation was conducted by a group of nine specialist judges. Overall, instrument comprehensiveness received the worst evaluation in the script aimed at the PHC workers, whereas lack of necessary items was pointed out by 44.4% of the judges in the script aimed at the young adults. Both scripts were well assessed regarding comprehensibility, objectivity, and pertinence. After validation, the scripts were applied to three PHC workers and three young adults living in subnormal clusters. Problems with question order and theme chaining were identified. Conclusion The final scripts approached the interview to a proposal for greater dialogue between researcher and participant.

Article in Spanish | LILACS-Express | LILACS | ID: biblio-1340692


RESUMEN Introducción: Uno de los elementos clave de una investigación es la variable, sin embargo, no existe acuerdo entre los metodólogos sobre los principales tópicos relacionados con ella, hecho que ha motivado la elaboración del presente artículo.

ABSTRACT Introduction: One of the key elements of an investigation is the variable, however, there is no agreement among methodologists on the main topics related to it, a fact that has motivated the preparation of this article.

Chinese Journal of Endemiology ; (12): 470-474, 2021.
Article in Chinese | WPRIM | ID: wpr-909034


Objective:To analyze the epidemiological characteristics and tendency of hemorrhagic fever with renal syndrome (HFRS) in Xi'an, master its popular and development laws, and provide scientific basis for formulating targeted prevention and control measures.Methods:The retrospective method was used to collect HFRS epidemic data and demographic data from 2009 to 2018 in Xi'an. The descriptive epidemiological method was used to analyze the three distributions (time, region, population distributions) of HFRS.Results:There were 8 710 HFRS cases in Xi'an from 2009 to 2018, with an average annual incidence of 10.13/100 000 and an average annual mortality rate of 0.08/100 000; the incidence of HFRS had decreased year by year since the peak incidence in 2010 (19.46/100 000), and had rebounded in 2017 (9.14/100 000), 2018 (9.04/100 000). The time distribution of the onset of HFRS was bimonthly, with peak in autumn and winter (October to January of following year) each year, accounting for 74.08% (6 452/8 710) of the total number of cases; the peak in spring and summer (May to July) accounted for 14.33% (1 248/8 710). HFRS cases were mainly concentrated in Chang'an District (2 446 cases), Zhouzhi County (1 494 cases), Hu County (1 170 cases), and Lintong District (940 cases), accounting for 69.46% (6 050/8 710). The age of onset of HFRS cases was mainly concentrated in 15-59 years old, accounting for 74.06% (6 451/8 710); the incidence rate in males was 14.77/100 000, in females was 5.25/100 000, the difference was statistically significant between gender (χ 2=1 921.42, P < 0.05); the occupational distribution was mainly farmers, accounting for 68.38% (5 956/8 710). Conclusions:From 2009 to 2016, the HFRS epidemic situation in Xi'an has showed a downward trend, and the incidence of HFRS has rebounded in 2017-2018. Xi'an should continue to take active and effective comprehensive measures to intervene to further realize effective control of HFRS.

Article in Chinese | WPRIM | ID: wpr-879078


Collecting and summarizing human use experience(HUE) data, forming high-quality data and evidences that can be used for evaluation are the key links of HUE research on traditional Chinese medicine(TCM). The collection, collation and summary of human experience data were discussed in this paper. It is pointed out that the collection of HUE should be focus on the source of prescription of new traditional Chinese medicines, and be summarized based on dialectical thinking, experience in medication, characte-ristics of prescription and clinical application. The collected contents include prescription, process, clinical location and applicable population, efficacy data and safety data, etc. The methods include interview, clinical data summary and data mining. When the data formed based on HUE information is used as drug registration information, it is necessary to ensure that the data source is legal and compliant, and the ownership of intellectual property is clear.Data sources should meet the requirements of medical ethics. To avoid conflict of interest, data analysis should be conducted by an independent third party. It is necessary to develop the quality control measures of HUE data to ensure the data traceability, integrity, consistency and accuracy, and avoid data bias.The data of HUE should include the key data such as accurate clinical location and applicable population, recognized clinical efficacy and safety.After the formation of HUE, the statistical analysis plan of empirical data of human use should be formulated. Through strict data processing, statistical analysis and clinical interpretation, HUE can be produced for evaluation.

Data Collection , Drugs, Chinese Herbal , Humans , Medicine, Chinese Traditional , Prescriptions , Quality Control
Rev. saúde pública (Online) ; 55: 118, 2021. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1357421


ABSTRACT OBJECTIVE To describe the methodological aspects of the Piauí home healthcare survey (ISAD-PI) and assess the relation between sampling plan, precision, and design effects, assuming that population health surveys are relevant instruments for health monitoring. METHODS ISAD-PI was a population-based cross-sectional study that analyzed the living conditions and health status of the population residing in urban areas in the municipalities of Teresina and Picos, in Piauí. Sampling was carried out by conglomerates in two stages: Primary Sampling Units and households. To calculate the sample size, we considered the stratification of the population in both cities, according to the age of the individuals. We evaluated the "non-response" rate (NRR) and estimated the proportions according to sex and age, as well as the prevalence of social determinants of health in order to assess the compliance of the sampling plan. Analyses related to the precision according to the coefficient of proportion variation of the standard error (Cv-pˆ) and the design effect (deff). Cv-pˆ less than 20% and deff less than 1.5 were considered adequate. The total NRR of households was 38.2% in Teresina and 38.3% in Picos. We carried out twenty-four proportion estimates in relation to age and sex and 48 prevalence of social and health determinants estimates, totaling 72 estimates. Among them, 71 had Cv-pˆ less than 20% and 61 had deff less than or equal to 1.5. CONCLUSION Data generated from the ISAD-PI may contribute to the assessment of health and morbidity conditions in the population. Furthermore, methodological aspects employed in this research may serve as a basis for studies carried out in other cities in Brazil.

RESUMO OBJETIVO Descrever os aspectos metodológicos do Inquérito de Saúde Domiciliar no Piauí (ISAD-PI), bem como avaliar a conformidade do plano amostral em relação à precisão e aos efeitos do desenho, dado que os inquéritos populacionais de saúde constituem instrumentos importantes para o monitoramento da situação de saúde da população. MÉTODOS O ISAD-PI foi um estudo de base populacional, transversal, que analisou as condições de vida e situação de saúde da população residente nas áreas urbanas dos municípios de Teresina e Picos, no Piauí. A amostragem foi realizada por conglomerados, em dois estágios: Unidades Primárias de Amostragem e domicílios. Para o cálculo do tamanho da amostra, considerou-se a estratificação da população de ambas as cidades, de acordo com a idade dos indivíduos, para ambos os sexos. Para avaliação da conformidade do plano amostral, foi avaliada a taxa de "não-resposta" (TNR) e, além disso, as estimativas de proporções segundo sexo e idade, bem como as prevalências de determinantes sociais de saúde, que foram analisadas em relação à precisão por meio do coeficiente de variação da proporção do erro padrão (Cv-pˆ) e do efeito do delineamento (deff). Foram considerados adequados Cv-pˆ menores que 20%, e deff menores que 1,5. A TNR-Total dos domicílios foi de 38,2% em Teresina e de 38,3% em Picos. Foram realizadas 24 estimativas de proporção em relação à idade e ao sexo e 48 estimativas de prevalência de determinantes sociais e de saúde, totalizando 72 estimativas, das quais 71 apresentaram Cv-pˆ menor que 20% e 61 apresentaram deff menor ou igual a 1,5. CONCLUSÃO Dados gerados a partir do ISAD-PI poderão contribuir para a avaliação das condições de saúde e morbidade na população. Ademais, aspectos metodológicos empregados nesta pesquisa poderão servir de base para estudos realizados em outras cidades do Brasil.

ABCD arq. bras. cir. dig ; 34(2): e1583, 2021. graf
Article in English, Portuguese | LILACS | ID: biblio-1345014


Abstract Background: The creation of a computerized clinical database with the ability to collect prospective information from patients and with the possibility of rescue and crossing data enables scientific studies of higher quality and credibility in less time. Aim: To validate, in a single master protocol, the clinical data referring to Surgery of Digestive System in a multidisciplinary way, incorporating in the SINPE© platform, and to verify the incidence of digestive diseases based on the prospectively performed collections. Method: Organize in one software, in a standardized structure, all the pre-existing items in the SINPE© database; the theoretical basis was computerized through the MIGRASINPE© module creating a single multiprofessional master protocol for use as a whole. Results: The existing specific protocols were created and/or adapted - they correspond to the most prevalent digestive diseases - unifying them. The possibility of multiprofessional use was created by integrating all data collected from medicine, nursing, physiotherapy, nutrition and health management in a prospective way. The total was 4,281 collections, distributed as follows: extrahepatic biliary tract, n=1,786; esophagus, n=1015; anorectal, n=736; colon, n=550; small intestine, n=86; pancreas, n=71; stomach, n=23; liver, n=14. Conclusions: The validation of the unification and structuring in a single master protocol of the clinical data referring to the Surgery of the Digestive System in a multiprofessional and prospective way was possible and the epidemiological study carried out allowed to identify the most prevalent digestive diseases.

RESUMO Racional: A criação de um banco de dados clínicos informatizado com a capacidade de coletar informações dos pacientes de forma prospectiva e com possibilidade de resgate e cruzamento viabiliza estudos científicos de maior qualidade e credibilidade em menor tempo. Objetivos: Validar em único protocolo mestre os dados clínicos referentes à Cirurgia do Aparelho Digestivo de forma multiprofissional incorporando-o na plataforma SINPE©, e verificar a incidência das doenças digestivas com base nas coletas prospectivamente realizadas. Método: Organizar no software em estrutura padronizada todos os itens pré-existentes no banco de dados do SINPE©, informatizar a base teórica através do módulo MIGRASINPE© criando-se um único protocolo mestre multiprofissional para uso como um todo. Resultados: Foram criados e/ou adaptados os protocolos específicos existentes que correspondem às doenças digestivas mais prevalentes unificando-os. Criou-se a possibilidade de uso multiprofissional integrando todos os dados coletados da medicina, enfermagem, fisioterapia, nutrição e gestão em saúde de maneira prospectiva. O total foi de 4.281 coletas assim distribuídas: vias biliares extra-hepáticas, n=1.786; esôfago, n=1015; anorretais, n=736; cólon, n=550; intestino delgado, n=86; pâncreas, n=71; estômago, n=23; fígado, n=14. Conclusões: A validação da unificação e estruturação em único protocolo mestre dos dados clínicos referentes à Cirurgia do Aparelho Digestivo de forma multiprofissional e prospectiva foi possível e o estudo epidemiológico realizado permitiu identificar as doenças mais prevalentes nesse aparelho.

Humans , Digestive System Surgical Procedures , Clinical Protocols , Prospective Studies , Databases, Factual , Electronics
An. bras. dermatol ; 95(5): 602-608, Sept.-Oct. 2020. tab
Article in English | ColecionaSUS, LILACS, ColecionaSUS | ID: biblio-1130937


Abstract Background: Dermoscopy increases the diagnostic accuracy in dermatology. The aspects related to training, usage profile, or perceptions of usefulness of dermoscopy among dermatologists in Brazil have not been described. Objectives: To evaluate the profile of the use of dermoscopy and the perception of the impact of the technique on clinical practice. Methods: The Brazilian Society of Dermatology invited all members to complete an online form with 20 items regarding demographic data, dermatological assistance, use of dermoscopy, and perceptions of the impact of the technique on clinical practice. The proportions between the categories were compared by analysis of residuals in contingency tables, and p-values < 0.01 were considered significant. Results: The answers from 815 associates (9.1% of those invited to participate) were assessed, 84% of whom were female, and 71% of whom were younger than 50 years of age. The use of dermoscopy was reported in the daily practice of 98% of dermatologists: 88% reported using it more than once a day. Polarized light dermoscopy was the most used method (83%) and pattern analysis was the most used algorithm (63%). The diagnosis and follow-up of melanocytic lesions was identified as the main use of the technique, while the benefit for the diagnosis of inflammatory lesions was acknowledged by less than half of the sample (42%). Study limitations: This was a non-randomized study. Conclusion: Dermoscopy is incorporated into the clinical practice of almost all Brazilian dermatologists, and it is recognized for increasing diagnostic certainty in different contexts, especially for pigmented lesions.

Humans , Female , Skin Neoplasms , Dermoscopy , Algorithms , Brazil , Dermatologists , Melanocytes , Middle Aged
Rev. colomb. cardiol ; 27(4): 270-275, jul.-ago. 2020. graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1289225


Resumen Objetivo: diseñar y desarrollar un aplicativo móvil, innovador y útil que facilite el registro, la extracción y el análisis de datos en cardiología, y que permita la realización de investigaciones de alta calidad en pacientes con insuficiencia cardiaca llevados a terapia de resincronización. Metodología: se utilizó el marco de trabajo Scrum, ya que ofrece características de agilidad necesarias para la definición de requerimientos en un entorno colaborativo y en equipo; se realizaron entregas parciales de un producto final, lo cual facilitó la rapidez en el desarrollo de la aplicación. CardioResyncApp es una aplicación móvil que estará disponible en las dos plataformas móviles más importantes: App Store y Google Play. Resultado: se diseñó y desarrolló un aplicativo móvil, innovador, especializado en la recolección de datos para estudios de investigación en cardiología referentes a insuficiencia cardiaca y terapia de resincronización. Conclusiones: CardioResyncApp es un aplicativo móvil, ágil, fácil de usar, que revolucionará la recolección de datos en Colombia, para investigación en cardiología. No tendrá limitaciones geográficas para la recolección de datos ya que se encuentra disponible en las plataformas móviles más populares, como IOS y Android, lo cual facilitará la realización de estudios multicéntricos en Colombia, aproximándonos a la realidad de la enfermedad en las diversas poblaciones a pesar de las variaciones sociodemográficas.

Abstract Objective: The aim of this study is to design and develop a new and useful mobile application that facilitates the recording, extraction and analysis of data in cardiology, and can help in the carrying out of high quality research on patients with heart failure receiving resynchronisation therapy. Methodology: Scrum development technology was used, since it offers the dynamic features necessary to define the requirements in collaborative and team environment. Partial deliveries will be made of a final product, which will help to speed up the development of the application. CardioResyncApp is a mobile phone application that will be available on the two most important mobile platforms: App Store and Google Play. Results: A novel mobile application was designed and developed to collect data for research studies in cardiology as regards heart failure and resynchronisation therapy. Conclusions: CardioResyncApp is a dynamic, easy to use, mobile application what will revolutionise data collection in Colombia for cardiology research. It will have no geographic limitations for the collection of data, since it is available on the most popular mobile platforms such as IOS and Android, which will help in the conducting of multicentre studies in Colombia, and approaching the reality of the disease in the various populations despite the sociodemographic variations.

Software , Data Collection , Electronic Health Records , Research , Cardiology , Cardiac Resynchronization Therapy , Heart Failure
Article | IMSEAR | ID: sea-202060


Background: Diabetes register is a clinical tool necessary for patient management including follow-up and referral procedures. In the Bringing Research in Diabetes to Global Environments and Systems that is in progress in Delta State, Nigeria; part of focus is establishment of diabetes register at a tertiary health facility. This phase of the project aimed to establish a diabetes register and to assess the baseline data.Methods: This was a clinical observational descriptive study at Eku Baptist Government Hospital. The diabetes register developed as in previous report was adopted as a scale-up study. After due clearance from the hospital, patients’ hospital record files were screened for cases of diabetes and 70 files were identified. Data were analyzed descriptively using Microsoft Excel Data Analysis ToolPak 2010.Results: There was a 2/1 female/male ratio, while 6% were below 40 years. 90% of patients had blood glucose levels results that indicated poor diabetes control. There is problem of incomplete data collection, for instance <25% BMI data was available. Capability and opportunity for standard service, e.g. diabetic foot examination, lipid profile, renal and retinal assessment was available at the tertiary health facility to allow management and referral from other hospitals.Conclusions: This report highlights poor adherence to diabetes care practices by stakeholders. It underscores the need for motivation to improve the quality of clinical data collection vis-à-vis documentation that enables assessment of diabetes epidemiology, especially in a facility that has the capacity.

Article | IMSEAR | ID: sea-202049


Background: Disease registries help to provide quality healthcare, including chronic care. As part of ongoing bringing research in diabetes to global environments and systems 2 project in Delta State, Nigeria; a preliminary concern is completeness of clinical assessments and data collection that would enable patients’ follow-up. The aim of this piece of work is to investigate if data collected for local diabetes registry is complete and sufficient to provide better understanding of the disease epidemiology and treatment follow-up.Methods: This was a purposive medical records audit at public secondary level hospital that followed initial development of diabetes register at the Catholic Hospital, Abbi with 44 pieces of clinical and demographic information. At the public hospitals, 93 patients’ medical records were audited and the data were entered into the register and evaluated, descriptively.Results: The results show that about 52% of the 44 itemized information were collected, of which completeness of data/documentation was as low as 3% in some items. Blood pressure assessment was done on 70% of patients and 16% of patients had diabetes complications. Lifestyle regimen monitoring was not documented. Neither incidence nor morbidity and mortality rate could be definitively ascertained.Conclusions: Quality of clinical data documentation was poor. This study contributes a measure of community needs assessment for professional development training on diabetes.

Rev. méd. Chile ; 148(1): 103-108, Jan. 2020.
Article in Spanish | LILACS | ID: biblio-1094212


This paper summarizes the main features of review articles in medical topics. Articles can be classified as narrative reviews, systematic reviews or meta-analysis. Narrative reviews are appropriate to update etiology, pathophysiology or clinical aspects of diseases, and advances in basic and preclinical sciences. In systematic reviews the authors define its purpose, limit its scope, describe the literature search, define the inclusion and exclusion criteria adopted to select primary studies, and the criteria applied to assess the quality of their results and conclusions. Meta-analysis are quantitative, statistically analysed systematic reviews that consider mainly primary studies conducted prospectively with simultaneous randomized controls, pooling the data obtained from each of these primary studies in order to get a single estimate of effect. Systematic analysis and meta-analysis are important to evaluate new diagnostic and therapeutic tools, and they are most relevant to evidence-based medicine, mainly for the design of clinical guidelines and the adoption of new health care policies. Review articles published in Revista Médica de Chile were compared in one or two-year periods separated by ten years in between: in the "2001 period" 26 reviews were all narrative; in the "2010 period" 30 reviews were narrative and another 4 were systematic reviews; in the "2019 period" 14 reviews were narrative and another 7 were systematic reviews. No meta-analysis had been published in these periods, in this journal. Meta-analysis including primary studies performed in Chile by Chilean investigators have been published in English language in other medical journals. The educational and professional role of review articles is recognised, with a word of caution on a strict adherence to ethical rules adopted by scientific and clinical publications, mainly with respect to authorship and potential conflicts of interest.

Authorship , Evidence-Based Medicine , Chile , Health Policy , Language
Rev Rene (Online) ; 21: e44196, 2020. graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1136125


RESUMO Objetivo construir e validar um questionário de rastreamento de disciplinas e conteúdos de Enfermagem Forense e similares em cursos de graduação. Métodos estudo metodológico de construção e validação de conteúdo e de semântica. Os itens foram construídos e categorizados por meio da análise de conteúdo, com base no referencial teórico nacional e internacional de Enfermagem Forense, estruturado em três seções com perguntas dicotômicas e abertas. Realizaram-se as validações de conteúdo e de semântica adotando Índice de Concordância de 80% entre os juízes, com a técnica brainstorming. Resultados as seções referem-se a: identificação dos cursos, das disciplinas de Enfermagem Forense e de Violência, e dos conteúdos de Enfermagem Forense. Conclusão o Questionário de Rastreamento de Disciplinas e Conteúdos de Enfermagem Forense nos Cursos de Graduação em Enfermagem foi considerado viável e amplo para avaliar a situação das disciplinas de Enfermagem Forense e de Violência nos cursos de Enfermagem das Instituições de Ensino Superior.

ABSTRACT Objective to construct and validate a questionnaire for tracking disciplines and content of Forensic Nursing and similar disciplines in undergraduate courses. Methods methodological study for the construction and validation of content and semantics. The items were constructed and categorized using content analysis, based on the national and international theoretical framework of Forensic Nursing, structured in three sections with dichotomous and subjective questions. Content and semantics were validated using the brainstorming technique and an 80% concordance index among the judges. Results the sections were: identification of courses, of disciplines of Forensic Nursing and Violence, and contents of Forensic Nursing discipline. Conclusion the Forensic Nursing Discipline and Content Supervision Questionnaire for Graduation Nursing Courses was considered easy to use and dynamic to assess the situation of Forensic Nursing and Violence-related subjects in Nursing courses at college Institutions.

Data Collection , Nursing , Universities , Validation Study , Education , Forensic Nursing
Article in Chinese | WPRIM | ID: wpr-865013


China has the largest group of patients with colorectal cancer in the world,however,there are few international guidelines for the diagnosis and treatment of colorectal cancer from China,or research of high-level evidence in China.In recent years,colorectal surgery has developed rapidly in China,and great progress has been made both in clinical practice and in clinical research.But there are still many imbalances and under-regulations.In 2018,Chinese Society of Colorectal Surgery led the establishment of Chinese Colorectal Cancer Surgery Database (CCCD).The retrospective and prospective data collection coming from CCCD showed that the standardization of colorectal cancer surgery and data management needed to be improved,and the awareness of clinical research needed to be further improved.Therefore,how to carry out good clinical research and obtain high-level evidence based upon CCCD will be the great challenge for colorectal surgery in China.

Article in Chinese | WPRIM | ID: wpr-837814


Da Vinci robotic surgical system has many unique advantages, including 3D high-definition vision system, simulation wrist with high degree of freedom, automatically removing the physiologic hand tremor and allowing sitting position for the operators. It was introduced into Chinese mainland in 2006, and has been widely applied in many fields, especially in urology (accounting for 46% of all clinical fields). In this paper, we analyzed the latest 15 years' application data of robot-assisted laparoscopic technique in urology in China and discussed the application characteristics and existing problems.

Article in Chinese | WPRIM | ID: wpr-798906


China has the largest group of patients with colorectal cancer in the world, however, there are few international guidelines for the diagnosis and treatment of colorectal cancer from China, or research of high-level evidence in China. In recent years, colorectal surgery has developed rapidly in China, and great progress has been made both in clinical practice and in clinical research. But there are still many imbalances and under-regulations. In 2018, Chinese Society of Colorectal Surgery led the establishment of Chinese Colorectal Cancer Surgery Database (CCCD). The retrospective and prospective data collection coming from CCCD showed that the standardization of colorectal cancer surgery and data management needed to be improved, and the awareness of clinical research needed to be further improved. Therefore, how to carry out good clinical research and obtain high-level evidence based upon CCCD will be the great challenge for colorectal surgery in China.